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Small Animal Radiology and Ultrasound: A Diagnostic Atlas and Text

Small Animal Radiology and Ultrasound: A Diagnostic Atlas and Text

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692 <strong>Small</strong> <strong>Animal</strong> Radiolo g y <strong>and</strong> Ultrasono graphy<br />

Fig. 6-37 A 4-month-old male Irish<br />

Wolfhound with pain over the<br />

midthoracic spine. A, The initial lateral<br />

radiograph revealed a moderate<br />

decrease in the density of the cranial<br />

endplate of T8 as well as a slight<br />

decrease in the width of the T7-8<br />

intervertebral disc space (open white<br />

arrow). B, Four weeks later there was<br />

marked destruction of the vertebral<br />

endplates at the T7-8 interspace as<br />

well as significant collapse of the disc<br />

space (open white arrow). Continued<br />

Some reports have stressed the role of Brucella sp. in these infections, but other bacteria<br />

such as Staphylococcus aureus, Corynebacterium diphtheriae, <strong>and</strong> Escherichia coli apparently<br />

are more common. * A number of other bacteria have been reported infrequently. 140-143<br />

Aspergillus has been incriminated also in diskospondylitis, especially in German Shepherd<br />

dogs. 144-146 Other mycoses have been reported also. 147 Infection usually is hematogenous in<br />

origin, although direct extension from a soft-tissue infection <strong>and</strong> migrating foreign bodies<br />

have been incriminated. 125,148 Diagnosis of the etiologic agent may be made by culture of<br />

material obtained by fluoroscopically guided fine-needle aspiration of the infected disc<br />

material. 149 If this is not possible, a bacteria identified on positive urine culture results frequently<br />

correlates with the etiologic agent of the diskospondylitis.<br />

A<br />

B<br />

*References 126-128, 130, 132, 135-139.

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